Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $588.84	Professional		$125.89	$229.09	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $194.98	Professional		$151.36	$165.96	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $371.54	Professional		$138.04	$213.80	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $478.63	Professional		$204.17	$263.03	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $426.58	Facility		$371.54	$371.54	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $371.54	Professional		$123.03	$204.17	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $371.54	Professional		$141.25	$239.88	$371.54